Jacob Brad Souva, in Royal Oak, MI - Medicare Physical Therapist Provider

Jacob Brad Souva, is a medicare enrolled "Physical Therapist" provider in Royal Oak, Michigan. His current practice location is 2615 Nakota Rd, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 210-0530.

Jacob Brad Souva is licensed to practice in Michigan (license number 5501301913) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588303952.

Contact Information

	Jacob Brad Souva,
	2615 Nakota Rd, Royal Oak, MI 48073-1816
	(586) 210-0530
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Brad Souva
Gender	Male
Speciality	Physical Therapist
Location	2615 Nakota Rd, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588303952
Provider Enumeration Date: 06/02/2022
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7618356692
Enrollment ID: I20220622000856

Medical Identifiers

Medical identifiers for Jacob Brad Souva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588303952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501301913 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Brad Souva allows following entities to bill medicare on his behalf.

Provider Name	Orthopedic Edge Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164682399 PECOS PAC ID: 1153494018 Enrollment ID: O20080725000131

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Brad Souva is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Brad Souva, 71575 Julius Dr, Bruce Township, MI 48065-3187 Ph: (586) 569-1621	Jacob Brad Souva, 2615 Nakota Rd, Royal Oak, MI 48073-1816 Ph: (586) 210-0530

Reviews and Comments

Physical Therapist in Royal Oak, MI

Shweta Kapur, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1202 Catalpa Dr, Royal Oak, MI 48067 Phone: 248-543-2070 Fax: 248-543-2056
Mr. David R Gross, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30575 Woodward Ave, Royal Oak, MI 48073 Phone: 248-280-8561 Fax: 248-280-8567
Sowrabh Paspulati Saibaba, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30301 Woodward Ave, Suite 200, Royal Oak, MI 48073 Phone: 248-430-5340
Dr. Karyn Beth Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5499
Mallory Lynn Wood, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30575 Woodward Ave Ste 210, Royal Oak, MI 48073 Phone: 248-621-5775 Fax: 248-280-8552
Mr. Kinjal Patel, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5130 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-435-7400 Fax: 248-435-2858
Leah Anne Rust, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4949 Coolidge Hwy, Royal Oak, MI 48073 Phone: 248-655-5800

Jacob Brad Souva, - Medicare Physical Therapist in Royal Oak, MI